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[Prevention and treatment of cancer of the cervical stump]
Abstract:
Of total number of patients with cervical cancer (12687) since 1962 to 1972 155 (1.2%) were subjected to therapy for cancer of the cervical stump. In 5 of 155 patients (3.2%) preinvasive cancer of the cervical stump was observed. Preliminary supravaginal hysterectomy was performed for benign pathological processes of the female genitalia, hysterectomy was performed for benign pathological processes of the female genitalia, including 86.5%--for uterine fibromyoma. Recently, a prolonged interval (10 years and longer) elapsed since supravaginal hysterectomy is typical for patients in whom cancer of the cervical stump develop. Hence, a careful follow-up of patients during the life period after supravaginal hysterectomy seems to be hardly feasible as it should be recommended, and it could not be an adequate prophylactic measure without using a cytologic assay. An idea of the rationality of using extirpation in climacteric and menopausal patients with fibromyoma is being substantiated.